Individual
JEANINE THUROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
W9183 BLUE SPRUCE LN, CAMBRIDGE, WI 53523-8801
(608) 516-0568
Mailing address
W9183 BLUE SPRUCE LN, CAMBRIDGE, WI 53523-8801
(608) 516-0568
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
503-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42940900
—
WI
01
—
60571
DEAN HEALTH INSURANCE
WI
Enumeration date
01/23/2006
Last updated
11/03/2022
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